| West Plano Diabetes And Endocrine Center, P.a. | |
|
6124 W Parker Rd Suite 332 Plano TX 75093-8122 | |
| (972) 981-7812 | |
| (972) 981-7836 |
| Full Name | West Plano Diabetes And Endocrine Center, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6124 W Parker Rd, Plano, Texas |
| Authorized Official Name and Position | Jeffrey H Perlman (PRESIDENT) |
| Authorized Official Contact | 9726398799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Plano Diabetes And Endocrine Center, P.a. 6124 W Parker Rd Suite 332 Plano TX 75093-8122 Ph: (972) 981-7812 | West Plano Diabetes And Endocrine Center, P.a. 6124 W Parker Rd Suite 332 Plano TX 75093-8122 Ph: (972) 981-7812 |
| NPI Number | 1285980953 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Medicare PECOS PAC ID | 3476701780 |
|---|---|
| Medicare Enrollment ID | O20120911000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285980953 | NPI | - | NPPES |
| 080422101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | K6228 (Texas) | Primary |
| Provider Name | Jeffrey Perlman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225063209 PECOS PAC ID: 5991615494 Enrollment ID: I20090916000540 |
| Provider Name | Surekha Perlman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053349027 PECOS PAC ID: 6800706300 Enrollment ID: I20120911000677 |
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